Individual
CANDACE MARIE BASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30492 GATEWAY PL STE 110, RANCHO MISSION VIEJO, CA 92694-1862
(657) 241-8601
(714) 665-4695
Mailing address
30492 GATEWAY PL STE 110, RANCHO MISSION VIEJO, CA 92694-1862
(657) 241-8601
(714) 665-4695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101678
CA
Other
Enumeration date
11/21/2008
Last updated
12/09/2019
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